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High-Field MR System Installed at Leading University Medical Center in Holland

By MedImaging International staff writers
Posted on 07 Jun 2016

Image: The installation of the high-field MR-guided linear accelerator system at the University Medical Center Utrecht (Photo courtesy of Philips Healthcare).

A leading imaging vendor and a company creating clinical solutions for treating cancer and brain disorders are installing a third high-field 1.5T Magnetic Resonance (MR)-guided linear accelerator at a Dutch university medical center.

The system is intended for research into how real-time clinical imaging and precision radiotherapy can improve outcomes for patients. The system is designed to provide clinicians with a responsive interventional approach by capturing capture high-quality images of tumors and nearby tissue, and enabling them to assess radiation treatment and modifying it if required.

The installation at the University Medical Center Utrecht (UMC; Utrecht, Netherlands) was announced by Elekta (Stockholm, Sweden) and Philips (Amsterdam, the Netherlands). The Elekta MR-linac system uses a radiotherapy system, a high-field MRI scanner, and software to enable clinicians to view patient anatomy in real time. The MR-linac is designed reduce the radiation exposure of normal tissue, and improve targeting of tumor tissue. The system can locate a tumor and lock onto it during radiotherapy even if the tumor moves or changes shape between treatment sessions. Elekta’s MR-linac is a work in progress and is not available for sale, or distribution.

Bas Raaymakers, PhD, professor at the Department of Radiotherapy, UMC Utrecht, said, “UMC Utrecht has been a leading proponent of the power of MR-linac technology to transform radiotherapy, and we are excited to announce expanded capabilities through installation of a third system. The ability to visualize radiation therapy during treatment and to adapt treatment in real-time based on detailed MR images would allow us to treat cancer with unprecedented levels of precision and accuracy, while improving efficacy and reducing side effects. Just as surgeons require a clear view of the surgical field, and often require sophisticated imaging equipment, radiation oncologists need a 21st century approach to visualize and adapt the radiotherapy field to achieve optimum outcomes for patients.”

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63 (404.11949157715): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

64 (69.856643676758): select jos_twitters.link from jos_twitters where cat=10

65 (45.061111450195): select jos_facebook.link from jos_facebook where cat=10

66 (43.869018554688): select jos_google_plus.link from jos_google_plus where cat=10

67 (41.961669921875): select jos_linkedin.link from jos_linkedin where cat=10

68 (60.081481933594): SELECT fid FROM jos_deeppockets WHERE id=294764477 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294764477 AND published='1' LIMIT 1

69 (61.03515625): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

70 (335.9317779541): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294764477 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (302.79159545898): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294764477 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (56.982040405273): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (74.863433837891): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (72.002410888672): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294764477 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (41.961669921875): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294764477 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (46.014785766602): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (79.154968261719): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

105 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

106 (92.983245849609): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294764477 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (74.148178100586): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294764477 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

109 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

110 (77.009201049805): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294764477 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (674.00932312012): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294764477 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (832.08084106445): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (553.84635925293): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (166.17774963379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

115 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

116 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

117 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

118 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

119 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

120 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

121 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

122 (560.99891662598): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294764477 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294764477 AND type='deeppockets_item' AND published='1' LIMIT 1

123 (!!!!! 9721.9944000244): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

124 (99.18212890625): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

125 (71.048736572266): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

126 (46.014785766602): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

127 (68.902969360352): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

128 (44.107437133789): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

129 (432.01446533203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

130 (56.982040405273): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

131 (58.889389038086): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

132 (46.014785766602): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

133 (677.10876464844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (478.02925109863): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (296.11587524414): SELECT name FROM jos_deeppockets WHERE id=212

136 (50.067901611328): SELECT name FROM jos_deeppockets WHERE id=212

137 (787.01972961426): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (706.91108703613): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (133.03756713867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

140 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

141 (402.92739868164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

142 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

143 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

144 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

145 (!!!!! 1488.9240264893): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

146 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

147 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

148 (61.988830566406): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294764477 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294764477 AND type='deeppockets_item' AND published='1' LIMIT 1

149 (524.04403686523): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

150 (51.021575927734): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

151 (51.021575927734): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

152 (169.99244689941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

153 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294764477 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294764477 AND published='1' LIMIT 1

154 (66.041946411133): select jos_twitters.link from jos_twitters where cat=10

155 (63.896179199219): select jos_facebook.link from jos_facebook where cat=10

156 (41.961669921875): select jos_google_plus.link from jos_google_plus where cat=10

157 (42.915344238281): select jos_linkedin.link from jos_linkedin where cat=10

158 (369.07196044922): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

159 (!!!!! 1217.8421020508): insert into jos_banners_delta values (14615,'2025-06-20 23:41:35','216.73.216.120','view'),(14202,'2025-06-20 23:41:35','216.73.216.120','view'),(14203,'2025-06-20 23:41:35','216.73.216.120','view')

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